Doctor insights on:
Endoscopy Or Colonoscopy For Celiac Disease
Depends: A person would need to be consuming at least some gluten on a daily basis for 3 weeks prior to the studies for a biopsy to obtain tissue consistent with the diagnosis. That could be as little as a slice of wheat bread/day, but someone who has been avoiding gluten can make the study less accurate. Just looking (endoscopy) is not diagnostic. ...Read moreSee 2 more doctor answers
Evolving issue: For diagnosis, the intestinal biopsy is the accepted confirmatory test for cd.It identifies the villous atrophy that reverses on a gluten free diet. Several gene markers (dq2 , dq8 ) are found in 90% of patients with cd but are also found in 40-50% of the population.Immune markers are suggestive, but which immune markers to study is under study.Cyrex labs has some detailed info posted on their site. ...Read more
An indoscopy showed i may have celiac disease .. How often would u get diarrhea with celiac disease?
Gluten in diet: By having gluten in your diet, even in hidden sources that you might not be aware of, the diarrhea would be evidence to you that you have gluten in the diet. It can be from cross contamination in restaurants, or in factors that use wheat to coat food products so they dont stick to the conveyor belt and dont list it as an ingredient in the food. It all is dose dependent and very individual. ...Read more
Sometimes: It's actually a clinical diagnosis, based on high level of suspicion (i.e., if you are a diabetic, for example) a "snapshot" (upper endoscopy, aka egd) may show liquid in the stomach after 8-10 hours of fasting; but no fluid does not negate the clinical diagnosis. Plus, many medications can stop evacuation from a healthy stomach. ...Read moreSee 1 more doctor answer
Endoscopy: Endoscopy views the esophagus, stomach and upper portion if the small intestine. It does not view the gallbladder at all! endoscopic ultrasound(eus) however can visualize the gallbladder & make a diagnosis of gallstones. Eus instrument is passed through the mouth as well but is a more sophisticated instrument than the standard endoscope. Eus can also assess the liver & pancreas. ...Read moreSee 1 more doctor answer
Is it possible for a toddlers blood test to be negative for celiac disease but upon endoscopy or colonoscopy be found to indeed have celiac disease?
Possibly: If the correct test was done (measurement of IgA antibody to human recombinant TTG is recommended for initial testing for CD by NASPGHAN) and was negative, AND if a child has chronic diarrhea or failure to thrive OR if they have selective IgA deficiency or a + family hx of CD, a biopsy might be recommended. Consult with a pediatric GI physician if this is the case. Best of luck! ...Read moreSee 1 more doctor answer
Gi suggested colonoscopy to check colon condition before switching from remicade (infliximab) to humira. Treated for uc. Had colonoscopy 2 yrs ago. Is this needed?
Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?
Ulcerative colitis: All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. ...Read more
Sufferring from inflammatory bowel disease, doctors diagnosed as maybe ibs, celiac chrons disease. A lot of food allergies. gluten, dairy intolerance?
Colon problems: Since the illnesses you mentioned in your question are all different, it sounds as though your problem really hasn't been diagnosed yet at all. If you are still having problems, be sure to see a gastroenterologist. If you have already seen one and still can't sort this out, get a second opinion from another gastroenterologist. These diseases are not mysteries! Keep going until you feel better. ...Read more
Seeing a GI doc- he is stumped. Wants to redo colonoscopyi have fatmalabsorption w/constipation. Colonoscopy showed congestion and edema, egd-gastritis?
Sorry: I am not a GI guy. If you think you are not getting you questions answered take your test results and have a second opinion. I wish you the best! ...Read more
Blood, stool, ?scope: A history and physical exam will be most important. They will very likely start with blood tests. Often they get stool tests which can take a few days to come back. Based on all of this data they will decide on whether your child needs an endoscopy or colonoscopy which is a direct look in the bowels with a small camera. Good luck! ...Read moreSee 1 more doctor answer
Ct scan shows diverticulitis Gi advised sigmoidoscopy to check narrowing of colon could it be cancer as been told only scoping can confirm difference?
Endoscopy biopsies showed negative for gluten, chron's, ulcerative colitis and etc.One year ago.Recent utrasound showed mesenteric adentitis 4xin2years?
Mesenteric adenitis: Is a virus and you can get it several yimes. It is great that nothing severe or major showed you on the biopsies. Your child probably should have his immune status checked at this point just to be sure he is fine, but he probably is, my guess. ...Read moreSee 1 more doctor answer
What screening test(s) does a gastroenterologist us to determine the diagnosis for colitis and Crohn's disease?
The first step: is a complete history, physical examination and basic lab tests (Blood Count, Chemistries) There is no BLOOD SCREENING test for these disease. A stool examination may be helpful( testing for occult blood) Routine genetic testing (HLA chromosomes etc) is NOT recomended. The next step for most Gastroenterologists is ENDOSCOPY (Lower and Upper) which can be done in ONE session (painless nowadays) Z ...Read more
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